HomeMy WebLinkAboutPermit Mechanical 2003-1-6
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
*
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-000IO
ISSUED: 01/06/2003
APPLIED: 01/06/2003
EXPIRES: 07/06/2003
VALUE:
SITE ADDRESS: 1405 LA WNRIDGE AVE
ASSESSOR'S PARCEL NO.: 1703252206100
Springfield TYPE OF
Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install insert and piping
Owner: RAAF RAYMOND R
Address: 1405 LAWNRIDGE AVE SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Owner
Contractor
MARSHALLS INC
RAAF RAYMOND R
",\),.;.\
I BUILDING INFORMATIrl"ti\\t. ,. ~Qi
. \.. 't.'I--\'\"~ ~WI\\ \S
\\O,,\I#~~~mr&'s':r>.\.: i\\\S?t: t.O rQ\\ Lot Size:
\\\\'0 'fie~~~t l~~Qt.~ r>.'Or>.~\)Q~ Sq Ft 1st Floor:
U\~eJ-,~~t). \'0 Sq Ft 2nd Floor:
~ Q~~jU-;., ?'-P~t.~\Q\)' Sq Ft Basement:
C, ,I' l\'!Ji!: U'YJie: Sq Ft Garage/Carport
iI\\~ nergy Path: Sq Ft Other:
1m pervious Surface Area:
License
25790
Expiration Date
12/23/2003
Phone
541-747-7445
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
I DEVELOPMENT INFORMATION I
REOUlRED PARKING
'joi)W"
Overlay Dist: ~ le~lllles II ~o,\i\l.I:
# Street Trees 'Ole~OIl Ill' ~e Ole~O ~_pped:
Paved DriveR~~\O~' ,,\eob'j~ IIl\ese.~e9~diPh\t:
. ~'i;.\ SeOO.. ~OSe OP-'" I. $ 'tN
% of Lo /O\llmll~ ce'(\\e1. \~~Oll~~ . \~e (1)19 e
\0 . ~iOIl .()O'I (} ~eS 01 ~~Oll
~\^~~~~~,,:t).()O'l J~.....lf\ CO~Q:"'C> \0\0\,I.-:-,,\iOIl
IPUBLIC IMPJWV}~.\~II\el. ~~~ U\i\\\'j !'~o\).
\.,~,- I...... \' ,! C\~O na.?-?:3""'
ce~III'" \OI\~e1!1 ~k~I'YPe:
~be~ liS -
III) cell\6 Downspouts/Drains
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
Square Footage
Value
Date Calculated
I of 2
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee- .
+ 10% Administrative Fee
+ 7% State Surcharge
G.as Fireplace
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Total Amount
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00010
ISSUED: 01/06/2003
APPLIED: 01/06/2003
EXPIRES: 07/06/2003
VALUE:
Total Value of Project
Fees P.aid I
Amount Paid
Date
Receipt Number
1200200000000000496
1200200000000000496
1200200000000000496
1200200000000000496
1200200000000000496
1200200000000000496
$10.00
$4.50
$3.15
$15.00
$4.00
$26.00
1/6/03
1/6/03
1/6/03
1/6/03
1/6/03
1/6/03
$62.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. Ail inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I ReDuiretl ~
1 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
2 Rough Mechanical: Prior to Cover
3 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certifY that all
iuformation hereon is true and correct, and I further certify that any and all work performed shall he done in accordance
with the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division,
Building Safety. 1 further certifY that only contractors and employees who are in compliance with ORS 701.005 wiD be
used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from
the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site
at all timeo/ilurin. g c~ct. ion.
, J 'J 1- 6 -u 3
Owner or fnt;actorUgn~ure Date
2 of 2
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Wir.., J
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-000 10
COM2003-000 I 0
COM2003-000 I 0
COM2003-0001O
COM2003-0001O
COM2003-000 I 0
Payments:
T}pe of Payment
Check
Paid By
MARSHALLS
Receipt #: 1200200000000000496
Date: 01/06/2003
Description
Gas Outlets 1-4
Gas Fireplace
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Cbeck Number Coufinn No
djb
Page I of I
1/612003
,
1l:37:4IAM.-
City of Springfield;
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
.
Amount Paid
4.00
15.00
26.00
10.00
3.15
4.50
$62.65
.
Amount Paid
62.65
$62.65
How Received
In Person
Pavment Total:
cReceiplrpt